Michael David Nickerson Sr., DDS

General Practice Dentistry · Kilmarnock, VA

Individual Active NPI

NPI number 1801926357

Practice location

240 South Main Street
Kilmarnock, VA 22482
Phone
(804) 435-6916
Fax
(804) 435-7676

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NPI record

NPI
1801926357
Entity type
Individual (Type 1)
Enumeration date
March 6, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401005752 VA

Mailing address

PO Box 486
240 South Main Street
Kilmarnock, VA 22482-0486
Phone
(804) 435-6916
Fax
(804) 435-7676

About Dr. Nickerson

Michael David Nickerson Sr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 240 South Main Street, Kilmarnock, VA 22482. The NPI number 1801926357 was assigned on March 6, 2007 and the record was last updated on July 8, 2007.

Dr. Nickerson lists a license in the registry: #0401005752 (VA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael David Nickerson Sr., DDS?

The NPI number is 1801926357.

What is the phone number of Dr. Nickerson?

The phone number listed for the practice location is (804) 435-6916.

Where is Dr. Nickerson located?

240 South Main Street, Kilmarnock, VA 22482.

What is the taxonomy code for Dr. Nickerson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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